Exam 3 – Cancer Exam Questions with Correct Answers
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Course
C ANCER
Institution
C ANCER
***The nurse is working on an oncology unit with a client who is currently receiving chemotherapy, and is finishing a bed bath. What is the priority?
· Labeling and properly disposing of waste
· Ensuring the IV pumps are plugged in to the wall to preserve battery life
· Letting the family kno...
Exam 3 – Cancer Exam Questions with
Correct Answers
***The nurse is working on an oncology unit with a client who is currently receiving
chemotherapy, and is finishing a bed bath. What is the priority?
· Labeling and properly disposing of waste
· Ensuring the IV pumps are plugged in to the wall to preserve battery life
· Letting the family know they can come back in the room
· Changing out the enteral feeding tubing - Answer-1
A client who is actively receiving chemotherapy must have bodily waste labeled
appropriately and disposed of in a proper manner. The nurse must ensure that this is
done as a part of client care. Most facilities require chemotherapy waste to be handled
with specific gloves and trash bags.
***The new graduate nurse on a surgical oncology floor is reviewing osteosarcoma
signs and symptoms. Which of the following findings does the nurse review that can be
seen in a client with osteosarcoma? Select all that apply.
· Increased range of motion
· Palpable mass
· Gait disturbance
· Localized acute pain
· Increased appetite - Answer-2, 4
Osteosarcoma is a type of cancer that produces immature bone. It is the most common
type of cancer that arises in bones, and it is usually found at the end of long bones,
often around the knee. Most people diagnosed with osteosarcoma are under the age of
25, and it is thought to occur more often in males than females.
· Bone pain or tenderness.
· A mass (tumor) that can be felt through the skin.
· Swelling and redness at the site of the tumor.
· Increased pain with lifting (if it affects an arm).
· Limping (if it affects a leg).
· Limited movement (if it affects a joint).
· A carcinoma forms in the skin or tissue cells that line the body's internal organs, such
as the kidneys and liver. A sarcoma grows in the body's connective tissue cells, which
include fat, blood vessels, nerves, bones, muscles, deep skin tissues and cartilage
which type of leukemia is more common in children vs adults - Answer-children ALL,
AML
adults get AML, CLL
The oncology nurse is caring for a client with leukemia. The nurse knows that the
purpose of chemotherapy in this client is for which reason?
,· To wipe out the bone marrow completely A client with a blood cancer such as
leukemia receives chemotherapy to completely wipe out their bone marrow so that the
bone marrow can be replaced with healthy bone marrow cells.
· To eliminate cancer cells in the blood to prepare the client for targeted radiation
therapy to the bone marrow
· To catch the microscopic cancer cells that could have been missed during surgery
· To reduce the size of the tumor - Answer-1
Leukemia is cancer of the body's blood-forming tissues, including the bone marrow and
the lymphatic system.
· Acute lymphocytic leukemia. (ALL)
· Acute myeloid leukemia. (AML)
· Chronic lymphocytic leukemia.(CLL)
· Chronic myeloid leukemia. (CML)
Survivorship is a mindset that clients begin the moment they receive a diagnosis of
cancer. They have already been through a struggle, and they are considered a survivor
from the beginning of their cancer journey.
A client who has recovered from cancer surgery requires lymphedema therapy. Which
best describes an activity that would occur with this type of therapy?
· Cognitive-behavioral therapy
· Pain medication administration
· Compression garment wear
· Upper arm strengthening - Answer-3
· Lymphedema is the swelling that sometimes occurs following certain types of surgery.
It most often develops in the groin, arms, legs, or neck. Compression garments are
used to control edema and fluid, and to promote venous return of blood to the heart.
Compression garments are typically fitted by a professional who can educate the client
about their use.
Lymphedema occurs when the lymph system is damaged or blocked. Fluid builds up in
soft body tissues and causes swelling. It is a common problem that may be caused by
cancer and cancer treatment. Over time, lymphedema (especially if poorly treated) often
results in number of complications including infections, disfigurement, pain, and
disability.
Which best describes the development of cachexia in a client with stomach cancer?
· Wasting of fat and muscle tissue
· Abdominal swelling because of fluid shifts due to protein energy malnutrition
· The need for total parenteral nutrition because of vitamin deficiencies
· Purposeful withholding of food and fluid intake by the client - Answer-1
· Cachexia is a term used to describe wasting of adipose and muscle tissue in a client
with severe illness such as cancer. A client with cachexia may lose up to 20 percent of
original body weight and may appear withdrawn and emaciated. It is caused by an
increase in metabolic activity in the body as a result of the illness and not necessarily
because of decreased food or fluid intake.
, · Abdominal swelling because of fluid shifts due to protein energy malnutrition This is
called "kwashiorkor" in children with malnutrition. Children who have a shortage of all
food, develops "marasmus" - deficiency of protein, carbs and fat
A 29-year-old woman is being seen in the healthcare clinic after a diagnosis of stage 2
breast cancer. The nurse knows that women from which ethnic background are at
increased risk of developing breast cancer? Select all that apply.
· African American
· Arab American
· Caucasian
· Pacific Islander
· Eastern Indian - Answer-1, 3
Caucasian and African American women are at greater risk than other ethnic groups of
developing this type of cancer
A client who has smoked cigarettes for 30 years is discussing health issues with a
nurse. The nurse is advising the client about how quitting smoking can reduce the risk
of certain types of cancer. Smoking is related to an increased risk of which of the
following types of cancer?
· Bone cancer
· Prostate cancer
· Leukemia
· Stomach cancer - Answer-4
· Smoking is associated with a number of different health problems. Most clients who
smoke are aware of the many health issues caused by the toxins found in cigarette
smoke. However, smoking is associated with several types of cancer about which the
client may not be aware. In addition to a link with lung cancer, smoking may also
increase the risk of stomach cancer, pancreatic cancer, liver cancer, and kidney cancer.
A nurse works on an interdisciplinary team to provide care for a client with lung cancer.
The client is unable to effectively clear their airway. The nurse should ensure that which
interdisciplinary team member is present to provide professional input?
· The social worker
· The respiratory therapist
· The provider
· The pharmacist - Answer-2
***Which of the following drugs is an example of an antitumor antibiotic that may be
given to a client with cancer?
· Ampicillin
· Gentamicin
· Bleomycin
· Tetracycline - Answer-3
· Bleomycin is medication known as an anti-tumor antibiotic given to clients with cancer
as a form of treatment. It is a chemotherapy agent that differs from standard antibiotics
in that it interferes with the DNA of the cancer cells, which stops the cancer from
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